Mark Laurence R Retiro, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT021237 Issued in PA

Practice address

8460 Limekiln Pike
Wyncote, PA 19095-2601

Phone

(917) 371-4450

NPI assigned

Jun 11, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307750400000",
    "number": "1326333949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8460 LIMEKILN PIKE",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190952601",
            "telephone_number": "917-371-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8460 LIMEKILN PIKE",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190952601",
            "telephone_number": "917-371-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETIRO",
        "first_name": "MARK LAURENCE",
        "middle_name": "R",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-11",
        "last_updated": "2011-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT26150",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT021237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Emory Rawlings, PHD
• Donnell Reid
• Jamie Reilly
• Renew Wound Care of Pennsylvania LLC
• Resources for Human Development
• Michael Rettig, PTA
• Lisa Kelly Reynolds, COTA/L
• Beth A. Rhoads, PSY.D.
• Elliott B Rotman, PH.D.
• Kimberly Nicole Roulston, OTR

• Physical Therapist in Wyncote, PA
• Providers in Wyncote, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.